{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T14:31:37Z","timestamp":1774449097021,"version":"3.50.1"},"reference-count":101,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Systems"],"abstract":"<jats:p>With over 50,000 merchant vessels and nearly two million seafarers operating globally, more than 12,000 maritime incidents in the past decade underscore the urgent need for proactive safety measures to ensure the structural integrity of aging ships and safeguard the well-being of seafarers, who face harsh ocean environments in remote locations. The Digital Healthcare Engineering (DHE) framework offers a proactive solution to these challenges, comprising five interconnected modules: (1) real-time monitoring and measurement of health parameters, (2) transmission of collected data to land-based analytics centers, (3) data analytics and simulations leveraging digital twins, (4) AI-driven diagnostics and recommendations for remedial actions, and (5) predictive health analysis for optimal maintenance planning. This paper reviews the core technologies required to implement the DHE framework in real-world settings, with a specific focus on the well-being of seafarers and offshore workers, referred to as Human DHE (HDHE). Key technical challenges are identified, and practical solutions to address these challenges are proposed for each individual module. This paper also outlines future research directions to advance the development of an HDHE system, aiming to enhance the safety, health, and overall well-being of seafarers operating in demanding maritime environments.<\/jats:p>","DOI":"10.3390\/systems13050335","type":"journal-article","created":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T09:16:12Z","timestamp":1746090972000},"page":"335","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Human Digital Healthcare Engineering for Enhancing the Health and Well-Being of Seafarers and Offshore Workers: A Comprehensive Review"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-6665-7494","authenticated-orcid":false,"given":"Meng-Xuan","family":"Cui","sequence":"first","affiliation":[{"name":"Faculty of Maritime and Transportation, Ningbo University, Ningbo 315832, China"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5048-2368","authenticated-orcid":false,"given":"Kun-Hou","family":"He","sequence":"additional","affiliation":[{"name":"Faculty of Maritime and Transportation, Ningbo University, Ningbo 315832, China"}]},{"given":"Fang","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Information and Electrical Engineering, Hangzhou City University, Hangzhou 310015, China"},{"name":"Hangzhou City University Binjiang Innovation Center, Hangzhou 310051, China"}]},{"given":"Jeom-Kee","family":"Paik","sequence":"additional","affiliation":[{"name":"Faculty of Maritime and Transportation, Ningbo University, Ningbo 315832, China"},{"name":"Hangzhou City University Binjiang Innovation Center, Hangzhou 310051, China"},{"name":"Department of Mechanical Engineering, University College London, London WC1E 6BT, UK"},{"name":"Yantai Research Institute, Harbin Engineering University, Harbin 264000, China"}]}],"member":"1968","published-online":{"date-parts":[[2025,5,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"105249","DOI":"10.1016\/j.ssci.2021.105249","article-title":"Safety in Marine and Maritime Operations: Uniting Systems and Practice","volume":"139","author":"Bye","year":"2021","journal-title":"Saf. 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